Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn Walter, CNP

Individual provider Nurse Practitioner · NPI 1902531239

Jacquelyn Walter, CNP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2021, 5 years ago. Practices with Theoria Medical, a 342-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Florida, Georgia and Iowa and 10 more.

Years since qualifying
5
Licensed in
CO, FL, GA, IA, IN, KS
In the registry since
2022
Specialties on file
15
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone: (740) 751-9059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41800 W 11 Mile Rd, Novi, MI 48375-1872 — (248) 282-5044

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5016637 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence GAA-NP002166 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 2024005128 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence C-APN.0102468-C-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11031772 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 093444-23 (NH)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024189150 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence C-RXN.0101627-C-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704401200 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence APN0000035840 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0030568 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71013523A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3019140 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A178270 (IA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 53-82882-101 (KS)

Record details

NPI number1902531239
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

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